ALLERGY TEST INSTRUCTIONS

1. Plan on about 1 ½ hours for allergy testing. You may want to bring a book. You will be able to use your phone or ipod. 2. Let us know if you use any inhaler for your lungs or if you are on any beta blockers including eye drop beta blockers. (Your doctor or pharmacist can clarify your medications if you are unsure if you take a beta blocker) 3. If you have any questions, please call the office and speak to the allergy nurse. 4. Do not use any oils or lotion on your back day of testing. 5. Some medication may not be listed due to the many different variations and generic equivalents. These are the most common. If you are in doubt call your doctor or pharmacist.

MOST COMMON ALLERGY MEDICATION TO AVOID 72 HOURS PRIOR TO TEST

BRAND NAME GENERIC 1. Allegra/Allegra D fexofenadine 2. Benadryl diphenhyramine 3. Clarinex/Clarinex D desloratadine 4. AllerX 5. Claritin/Claritin D loratadine 6. Zyrtec/Zyrtec D cetirizine 7. Xyzal levocetirizine

(SINGULAIR and Sudafed are OK. They will not interfere with testing)

ALL NASAL STEROID SPRAYS ARE OK TO CONTINUE (i.e. Flonase, fluticasone, Nasacort)

ALL NASAL ANTIHISTAMINE SPRAYS MUST BE STOPPED (i.e., Astelin, Astepro, Patanase, Azelastine)

ANTIHISTAMINE/DECONGESTANTS TO 72 HOURS PRIOR (PLAIN Tylenol/Advil/Aleve FOR PAIN IS ACCEPTABLE)

NO COLD / SINUS MEDICATIONS / COUGH MEDICATION INCLUDING:

TYLENOL PM ADVIL PM EXCEDRINE PM OPTIMINE EYE DROPS OPTIVAR EYE DROPS

ANTI- NAUSEA MEDICATIONS / H2 ANTAGONISTS- (STOP 75HOURS DAYS PRIOR)

BRAND NAME GENERIC NAME

1. TAGAMENT CIMETIDINE 2. ZANTAC (3 days) RANITIDINE (3 days) 3. ZANTIDEN KETOTIFEN 4. PHENERGAN 5. ATARAX 6. VISTARIL 7. MECLIZINE (OR ANY LIKE MEDICATION)

NO BETA BLOCKERS including beta blocker eye drops 72 HOURS prior and permanently for immunotherapy.

Check with your doctor before stopping any beta blocker.

BRAND NAME GENERIC NAME

1. BETAPACE SOTALOL 2. BLOCARDEN TIMOLOL MALEATE 3. BREVIBLOC ESMOLOL HCL 4. CARTROL CARTEOLOL HCL 5. CORGARD NADOLOL 6. CORZIDE NADOLOL & HCTZ 7. INDERAL PROPRAOLOL 8. INDERID PROPANOLOL & HCTZ 9. KERLONE BETAXOLOL HCL 10 LEVATOL PENBUTOLOL SULFATE 11. LOPRESSOR METAPROLOL TARTRATE 12. COREG CARVEDILOL 13. NORMODYNE LABETOLOL HCL 14. NORMOZIDE LABETOLOL & HCTZ 15. SECTRAL ACEBUTOLOL HCL 16. TENORETIC ATENOLOL&CHLORTHALIDONE 17. TENORMIN ATENOLOL 18. TIMOLIDE TIMOLOL & NCTZ 19. TOPROL XL METAPROLOL SUCCINATE 20. TRANDATE LABETOLOL HCL 21. VISKEN PINDOLOL 22. ZEBETA BISOPROLOL 23. ZIAC BISOPROLOL & HCTZ 24. ANY BETA BLOCKER EYE DROPS

MAO INHIBITORS MUST BE OFF FOR 5 DAYS PRIOR TO TESTING, AND THEN BE OFF PERMANENTLY FOR IMMUNOTHERAPY. CANNOT BE GIVEN EPINEPHRINE IN AN ANAPHYLACTIC REACTION

BRAND NAME GENERIC NAME

EUTRONYL PARGYLINE EUTRON PARGYLINE & METHYCLOTHIAZINE FLROXONE FURZAOLIDONE MATULANE PROCARBAZINE NARDIL PHENELZINE PARNATE TRANYLEYPROMINE

TRICYCLIC ANTIDEPRESSANTS

MUST BE OFF 3-6 WEEKS PRIOR TO SKIN TESTING AND THEN MAY CONTINUE FOR IMMUNOTHERAPY Patient must be weaned by the prescribing doctor and substituted with another drug if desired. Patient must do this under doctor’s supervision or severe depression could result.

BRAND NAME GENERIC NAME 1. ADAPIN DOXEPIN HCL 2. APO-TRIMIP TRIMIPRAMINE MALEATE 3. ASENDIN AMOXAPINE 4. ELAVIL AMITRIPYYLINE 5. ENDEP AMITRIPTYLINE CONTINUED 6. EMITRIP AMITRIPTYLINE 7. ENDLIL AMITRIPTYLINE 8. ETRAFON COMBINATION DRUG 9. IMPRIL IMIPRAMINE HCL 10. LEVATE AMITRIPTYLINE 11. LIMBITROL COMBINATION DRUG 12. MERAVIL AMITRIPTYLINE 13. PAMELOR NORTRIPTYLINE HCL 14. ROLAVIL AMITRIPTYLINE 15. SINEQUAN DOXEPIN HCL 16. SURMONTIL TRIMIPRAMINE MALEATE 17. TROFANIL PM IMPRAMINE HCL & PAMOATE 18. TRAZODONE DESYREL 19. TRIADAPIN DOXEPIN HCL 20. TRIALIC COMBONATION DRUG 21. TRIPRAMINE IMIPRAMINE HCL 22. TRIPTIL PROTRIOTYLINE HCL 23. VIVACTIL PRITROPTYLINE HCL